Michelle and Erin get together to talk about their free PFD in Schools seminar that took place on last Sunday (5/18). They also preview the new season starting next week on May 27, and the process of creating a new cover for the first time in 7 years!

Stay tuned next week for an all new episode titled "PFD and DEIA: Why It Matters to Us and Those We Serve" featuring a panel of 6 PFD experts from around the US.

Free PFD in Schools Seminar (.6 ASHA CEU): www.speechtherapypd.com/pfd

This conversation originally aired September 26, 2018 - an all new season of First Bite will return on May 27, 2025.

Earn .1 ASHA CEU for this episode: https://www.speechtherapypd.com/course?name=Banishing-Basic-Feeding-Myths-in-the-World-of-Pediatrics-48

Hosts: Michelle Dawson MS, CCC-SLP, CLC, BCS-S and Erin Forward MSP, CCC-SLP, CLC

In this episode, Michelle and Erin bust some of our pre-conceived myths regarding treatment of feeding disorders in the pediatric world. Defining the etiology of the dysphagia, the confusion of utilization of EBP strategies with adults and how EBP can often become misplaced when treating pediatrics is discussed, as well as some of our favorite resources to develop our EBP for pediatrics is discussed.

Mentioned in this episode:

Free PFD Conference Sign Up

Signup for PFD in Schools: Learning from the Trailblazers: https://www.speechtherapypd.com/upcoming/pfd-in-schools

Free PFD in Schools Seminar (.6 ASHA CEU): www.speechtherapypd.com/pfd

This interview with Dr. Kay Toomey originally aired January 19, 2019, an all new season of First Bite will return on May 27, 2025.

Earn .1 ASHA CEU for this episode: https://www.speechtherapypd.com/course?name=Never-Fear-Dr-Kay-Toomey-and-SOS-Feeding-are-Here-243

In this engaging episode of the 'First Bite' podcast, host Michelle Dawson is joined by Dr. Kay Toomey, a leading psychologist and founder of the SOS Approach to Feeding, dives deep into the nuances of pediatric feeding therapy. Dr. Toomey explores the roots and principles of the SOS Approach, highlighting the importance of a bottom-up methodology, play, and systematic desensitization in aiding children with feeding disorders. The conversation also touches on the difference between picky eaters and problem feeders, the interdisciplinary nature of effective feeding therapy, and the challenges faced by families with medically fragile children. Dr. Toomey provides insights on how to balance different therapeutic approaches and the significance of postural stability in feeding. Throughout, the discussion emphasizes compassion, patience, and the need for a holistic, family-inclusive approach to pediatric feeding therapy.

00:00 Morning Chaos and Exciting Announcements

00:21 Celebrating Milestones and Upcoming Event

02:34 Introduction to Today's Episode

03:19 Re-releasing a Special Episode

04:02 Welcome to First Bite Podcast

04:28 Diving into the SOS Approach to Feeding

06:04 The Journey of Dr. K Tomi

13:32 Understanding Picky Eaters vs. Problem Feeders

41:38 Importance of Proper Postural Stability for Children

43:18 Teaching Children to Eat Through Play

44:25 SOS Approach to Feeding Program

45:55 Classical vs. Operant Conditioning in Feeding

46:45 Addressing Feeding Difficulties in Children

47:50 Bottom-Up Approach to Teaching Eating Skills

49:41 Systematic Desensitization vs. Top-Down Approach

51:14 Managing Vomiting During Feeding Sessions

53:31 Creating a Positive Feeding Environment

56:49 Becoming an SOS Certified Provider

01:02:27 Navigating Different Feeding Philosophies

01:12:01 Supporting Medically Fragile Children in Feeding

01:17:20 Conclusion and Final Thoughts

Guest: Patrick "Pat" Reeves MD, FAAP, DABOM, MAJ, MC, USA

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=BowelsBellyBrain-Interaction

In this insightful podcast episode, join host Michelle as she engages in a detailed conversation with Dr. Patrick Reeves, a pediatric gastroenterologist working with the military. They discuss a range of significant topics including the management and transition of feeding tubes, the challenges of cyclic vomiting syndrome, and functional constipation in children. Dr. Reeves also elaborates on his development of clinical action plans to improve coordination of care for patients with complex nutritional needs. Gain valuable insights into pediatric gastroenterology, practical tips for advocating for appropriate care, and the importance of teamwork among healthcare providers.

Episode Timeline:

00:00 Introduction and Guest Welcome

01:15 Dr. Reeves' Professional Journey

03:52 Developing Clinical Tools During the Pandemic

05:54 The Role of Dr. Reeves' Wife in Tool Development

07:44 Clinical Action Plans Overview

09:46 Understanding Constipation in Pediatric Patients

25:03 Challenges with Nissen Fundoplication

31:11 Feeding Tubes: A Necessary Tool

35:16 Introduction to Claire Riley's Research

35:38 Complications of NG and J Tubes

37:18 The Aggressive Bridle Device

40:01 Case Study: Managing G-Tube Transitions

53:23 Understanding Functional GI Disorders

56:00 Cyclic Vomiting Syndrome Explained

01:02:07 Advocating for Pediatric GI Care

01:09:46 Conclusion and Final Thoughts

About the Guest: Patrick “Pat” Reeves, MD, FAAP, DABOM, MAJ, MC, USA, is a triple-board-certified physician in the areas of General Pediatrician, Obesity Medicine Specialist, and Pediatric Gastroenterologist Hepatologist, with advanced research skills focusing on enhancing patient education and clinical outcomes. He serves as an associate professor of pediatrics and associate professor of military medicine through the Uniformed Services University, University of Texas, and Texas A&M. His specific research focuses are first describing the negative impacts of consumer product injuries- like button batteries, high powered magnets [Buckyballs] and water beads [Orbeez]- on child health, and secondly, the development of point-of-care tools to be used at home by families managing children with medical complexity. He has nearly 40 peer-reviewed, published articles.

Watch this episode on YouTube: https://youtu.be/g5iqlS5GEGk

Guest: Joleen Fernald, PhD, CCC-SLP, BCS-CL

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=DIR-and-Selective-Mutism

In this episode, host Erin welcomes Jolene Fernald, an expert in selective mutism and DIR floor time, to discuss the complexities of selective mutism, neurodiversity, and how to support children who struggle with communication in anxiety-provoking situations. Jolene shares personal experiences, diagnostic criteria, and effective strategies based on a holistic DIR approach. Viewers will learn about the role of sensory processing, how to build a supportive classroom environment, and the importance of understanding the 'why' behind behaviors. This episode also covers the overlap between selective mutism and autism, providing insights into the situational challenges faced by neurodivergent individuals. Jolene introduces useful resources, including a new card deck to guide therapists and educators. This enriching conversation aims to equip you with knowledge and tools to better support children with selective mutism.

Episode Timeline:

00:00 Introduction and Excitement for the Episode

00:30 Upcoming Events and Conferences

01:09 Guest Introduction: Jolene Fernald

03:29 Jolene's Journey and Expertise in Selective Mutism

09:49 Understanding Selective Mutism and DIR Approach

13:29 Diagnosing and Addressing Selective Mutism

20:55 Building Communication Capacities in Children

28:15 The Role of Sensory Activities and AAC

31:24 Understanding Communication Challenges in Children

32:28 Addressing Classroom Anxiety and AAC Systems

35:12 Supporting Teachers and Creating Safe Environments

38:23 Effective Classroom Strategies for Anxious Students

47:09 Selective Mutism and Autism: Overlapping Conditions

57:32 Resources and Tools for Supporting Children with SM

01:01:48 Conclusion and Final Thoughts

About the Guest: Joleen R. Fernald, PhD, CCC-SLP was awarded Board Specialty Recognition in Child Language from the American Speech-Language Hearing Association. Dr. Fernald follows Greenspan and Wieder’s model, DIRFloortime® , when working with children and families.She has a special interest in the social-emotional development of young children and its impact on their speech and language skills. As a speech-language pathologist, Dr. Fernald works with children who have a variety of communication disorders. She specializes in the assessment and treatment of Selective Mutism and is the developer of the DIR-SM model.

Mentioned in this episode:

Free PFD Conference Sign Up

Signup for PFD in Schools: Learning from the Trailblazers: https://www.speechtherapypd.com/upcoming/pfd-in-schools

Guest: Tiffany Elliott, MS CCC-SLP, CNT, IBCLC

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Bridging-NICU-to-Home

In this special birthday episode of First Byte, Michelle Dawson, a devoted therapist and mother, explores the intricate journey from NICU to home with expert Tiffany Elliott. They discuss practical strategies for caregivers in maintaining emotional wellbeing, the importance of neuroprotective care, and the Hospital to Home Systems Change project aimed at improving continuity of care for infants and their families. Elliott shares her insights from working in various NICUs, setting up essential support systems, and the critical role that emotional support plays in successful infant feeding. This episode is packed with valuable information for anyone interested in pediatric feeding, NICU professionals, and caregivers navigating early intervention services.

Episode Timeline:

00:00 Welcome to First Bite

00:29 A Day in the Life of a Pediatric Feeding Specialist

01:31 University of Tennessee Lecture Experience

04:11 Encouragement for Clinical Supervisors

05:59 Introducing Tiffany Elliott

06:41 Tiffany's Journey and NICU Experience

19:09 Hospital to Home Systems Change

23:39 Challenges in Early Intervention

26:53 Barriers and Solutions in Washington State

36:21 Personal and Professional Reflections

40:12 Navigating Academia and Authenticity

41:39 Balancing Productivity and Care in the NICU

44:21 Challenges in Early Intervention Systems

45:29 Continuity of Care and Billing Codes

49:21 Training and Support for Caregivers

51:59 Emotional Wellbeing and Feeding

01:00:16 Practical Strategies for Caregiver Support

01:11:38 Final Thoughts and Resources

About the Guest(s): Tiffany Elliott, MS CCC-SLP, CNT, IBCLC, is a Speech-Language Pathologist (SLP) who specializes in pediatric feeding and swallowing disorders with a strong focus on preterm and medically complex infants and strengthening the caregiver-infant dyad. She is also an International Board Certified Lactation Consultant (IBCLC) and holds certifications in neonatal therapy (CNT) as well as neonatal touch and massage (NTMTC). She is currently a LEND trainee at the University of Washington. Tiffany is passionate about improving systems of care. She is a hospital-to-home systems change specialist with Northwest Center, where she partners with professionals across Washington state to enhance the hospital-to-home transition for infants and build community therapists' capacity. She also works on the infant feeding team at Seattle Children’s Hospital, providing direct care for infants and their families. Before these positions, she co-founded the UW Medical Center’s NICU SLP program and worked at Mary Bridge Children’s Hospital.

Watch this episode on YouTube: https://youtu.be/n7hXTJG_FJM

Mentioned in this episode:

Free PFD Conference Sign Up

Signup for PFD in Schools: Learning from the Trailblazers: https://www.speechtherapypd.com/upcoming/pfd-in-schools

Guest: Amy Zembriski, MBA, MS, CCC-SLP

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Neurodiversity-Affirming-Feeding-Therapy-Where-do-I-Start

In this episode of First Bite, host Michelle Dawson introduces a valuable conversation between Erin Forward and Amy Zimbrisky, a seasoned speech therapist specializing in neurodiversity affirming feeding therapy. After highlighting insights from the Feeding Matters Conference, Erin and Amy delve into practical strategies for beginning feeding therapy with neurodiverse children. They discuss creating a safe and welcoming environment, the importance of caregiver education, and the significance of understanding each child's unique relationship with food. Amy shares her personal journey in overcoming challenges and learning to support her clients in a more holistic and relationship-based manner, emphasizing the significance of autonomy and trust. Tune in to learn how to build therapeutic strategies personalized for each child, utilize AAC effectively, and foster a positive mealtime experience.

Episode Timeline:

00:00 Introduction and Episode Overview

00:41 Feeding Matters Conference Highlights

01:31 Creating a Safe Space for Feeding Therapy

03:33 Personal Reflections and Announcements

05:25 Introduction to Amy Zembrisky

07:16 Amy's Journey in Feeding Therapy

11:44 Building Trust and Autonomy in Feeding Therapy

15:29 Caregiver Education and Support

17:44 The Importance of Routine and Flexibility

35:28 Validating Caregiver Concerns

36:44 Navigating Social Media Judgments on Parenting

37:51 Understanding Children's Food Preferences

38:54 The Importance of Flexibility in Feeding Therapy

40:24 Building Trust and Safety in Therapy

42:10 Case Study: Engaging a Child in Mealtime

43:42 Personalizing Therapy Approaches

47:45 The Role of Caregivers in Feeding Therapy

58:12 Advice for New Therapists

01:00:55 Resources and Mentorship

01:05:19 Conclusion and Contact Information

About the Guest: Amy Zembriski, MBA, MS, CCC-SLP is a certified speech language pathologist with an extensive background working in a variety of settings, including acute care, skilled nursing facilities, schools, early intervention, and private practice. Additionally, she has had past experience working as an adjunct professor supervising graduate students during their diagnostic clinical practicum. She is the owner of Speech Therapy Connections in Fair Lawn, NJ, where she specializes in augmentative and alternative communication (AAC) and gestalt language processing; Amy offers expert support for families with autistic children. Her passion lies in educating and empowering both professionals and families through neurodiversity-affirming practices.

Guest: Ashley Muñoz López MBA, MS, CCC-SLP, BCS-S

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Discovering-the-Leader-in-You

In this episode, Michelle Dawson introduces the theme of leadership within the field of speech pathology. Michelle shares insights from her recent experience at the Feeding Matters conference, highlighting the importance of advocacy, especially regarding the protection of 504 plans under threat in several states. The week's guest, Ashley Lopez, delves into her journey as a speech pathologist transitioning from adult care to pediatric care, her pursuit of leadership roles, and the challenges of balancing professional and personal life during these transitions. Ashley also opens up about the impact of postpartum depression, the necessity of finding one's tribe for support, and her educational path that includes obtaining an MBA to enhance her leadership skills. This episode is a heartfelt discussion about personal growth, professional transitions, and the essential role of advocacy in the field.

Link to ASHA Advocacy - Texas v. Beccera: https://www.asha.org/news/2025/texas-v-becerra-a-lawsuit-that-threatens-disability-rights/

Episode Timeline:

00:00 Welcome to First Bite

00:18 Reflections on Feeding Matters Conference

02:52 The Fight for 504 Plans

07:39 Introducing Ashley Lopez

09:14 Ashley's Journey into Speech Pathology

17:33 Career Pivots and Challenges

20:45 Transitioning to Pediatrics

22:52 Navigating Postpartum Depression

32:35 Mentorship and Adult Learning

34:19 Pursuing an MBA During the Pandemic

37:38 Discovering a Passion for Medicine

38:01 Pursuing an MBA

38:41 Balancing Education and Career

39:59 Understanding the Bigger Picture in Healthcare

40:50 The Importance of Leadership in Healthcare

41:38 Graduating and Future Aspirations

43:06 Challenges in Clinical Training

45:09 The Role of Business in Healthcare

46:10 Personal Life and Professional Balance

49:14 Finding Support and Building a Tribe

51:43 Adapting to New Normals

01:03:04 Leadership and Continuous Learning

01:09:09 Concluding Thoughts and Gratitude

About the Guest: Ashley is a board-certified clinician with experience in direct patient care, project management, service line development, and leadership. She has worked as a speech-language pathologist for over a decade and has experience working with children and adults in various practice pathways. She has substantial experience working with patients with acquired brain injury, respiratory compromise, and dysphagia.

Ashley has been published in the ASHA Leader and Aerodigestive Health as well as the Perspectives of the ASHA Special Interest Groups. She received the Distinguished Early Career Professional (ECP) Certificate in 2018 and graduated from ASHA's Leadership Development Program (LDP) in 2019. She is a current member of the Hispanic Caucus for ASHA and a previous board member. She has been a guest speaker for several universities and has presented at the local, state, and national levels, including multidisciplinary presentations with nursing organizations. Most recently, she was invited to be a speaker at ASHA's upper airway online conference. In 2020, Ashley began her term as a site visitor for the Council on Academic Accreditation (CAA). ​​​

Ashley provided dedicated service to ASHA's Special Interest Group 13 as a professional development member from 2021 - to 2023 and the CE content manager. Currently, she is serving on the adult swallowing committee for the ASHA 2024 convention. Outside of her duties in the clinical realm, Ashley empowers diverse members of the healthcare workforce and was the 2022 co-chair and 2023